PMHNP Boards
A 14-year-old patient has nonspecific complaints about pain in his or her legs. The physical
examination is unremarkable. Laboratory results are within normal limits except for a
markedly elevated alkaline phosphatase level. The psychiatric-mental health nurse
practitioner - ANSinterprets the findings as normally occurring during a rapid adolescent
growth spurt
Laboratory findings for a patient with an alcohol use disorder indicate increased liver function
values and: - ANSincreased MCV and elevated triglyceride levels.
A new patient arrives at the office for treatment for depression. The patient reports taking
simvastatin (Zocor) and lisinopril (Zestril). When selecting an antidepressant, the
psychiatric-mental health nurse practitioner eliminates fluoxetine (Prozac), based on the
knowledge that the combination can lead to increased plasma levels of the statin, resulting in
an increased risk of muscle damage and rhabdomyolysis. The nurse practitioner's reason is
that: - ANSone medication is a CYP450 3A4 substrate and one is a CYP450 3A4 inhibitor.
A 28-year-old patient who is psychotic arrives at the clinic with family members but refuses
to meet if the family members are present. The psychiatric-mental health nurse practitioner -
ANSasks the family members to leave for the appointment.
The psychiatric-mental health nurse practitioner is responsible for initiating quality
improvement at a community mental health clinic. The effective strategy for evaluating the
clinic's services is to: - ANSuse a survey to elicit patient satisfaction responses.
The psychiatric-mental health nurse practitioner evaluates a new adult patient via
telemedicine. The patient has questions about a new medication that he or she recently
started. The nurse practitioner decides to provide psychoeducation and to: - ANSe-mail drug
information and resources
Any court of law that evaluates the standards of care provided by a psychiatric-mental health
nurse practitioner - ANSconsiders what a reasonably prudent health care provider would do.
The psychiatric-mental health nurse practitioner and a team of local mental health
professionals are asked to provide crisis counseling service, after a gunman recently took a
class hostage at a local elementary school, wounded several students, and then shot
himself. In preparing for this assignment, the nurse practitioner recognizes that: - ANSa
child's developmental stage will influence his or her response to catastrophic stress
Which community-based program is a tertiary level intervention? - ANSPartial hospitalization
program that provides intensive group therapy for rehabilitation.
A 32-year-old female patient informs the psychiatric-mental health nurse practitioner that she
is three months pregnant. She has been stable on fluoxetine (Prozac) for the last two years.
, The patient asks whether she may safely continue this medication during her pregnancy.
The nurse practitioner responds: - ANS"Let's review the risks and benefits of continuing or
discontinuing Prozac for you and your baby."
Established clinical guidelines suggest that suicidality is decreased by treating patients who
have borderline personality disorder with: - ANSdialectical behavioral therapy.
A six-year-old patient with autistic spectrum disorder has not responded to six months of
psychosocial interventions and continues to demonstrate aggressive tendencies toward a
younger sibling. The psychiatric-mental health nurse practitioner prescribes: -
ANSrisperidone (Risperdal) 0.25 mg once a day.
The psychiatric-mental health nurse practitioner working in a crisis stabilization unit
evaluates a patient verbalizing suicidal thoughts after being sexually assaulted. Before
processing through the traumatic event, the nurse practitioner first attempts to - ANSprovide
an environment of safety.
The psychiatric-mental health nurse practitioner uses a cognitive-behavioral approach to
help a patient address self-defeating behaviors. After identifying the stressor that causes the
inappropriate behavior, the initial strategy is to explore: - ANSrational and irrational beliefs
about the stressor.
A patient who has borderline personality disorder experiences intense anxiety when the
psychiatric-mental health nurse practitioner goes on vacation. The most appropriate
explanation for this reaction is that the patient: - ANShas not developed object constancy.
An initial psychiatric evaluation of a patient reveals a normal mental status and appropriate
behavior, despite a parent's reports of "disobedience, poor grades, and laziness." To further
assess the patient's functioning, the psychiatric-mental health nurse practitioner: -
ANSmeets with the parent and patient together to explore the discrepant report.
The psychiatric-mental health nurse practitioner is employed in a newly created attending
role on a psychiatric inpatient unit. To promote an interprofessional environment, the nurse
practitioner: - ANSassigns a role for all staff members in improving patient outcomes.
The psychiatric-mental health nurse practitioner sees a 12-year-old patient who takes
lisdexamfetamine (Vyvanse) 50 mg daily for attention-deficit hyperactivity disorder. The
nurse practitioner observes a tic, which the parents report began after the patient began
taking the psychostimulant, and it has been increasing in severity. Both the parents and the
school report that the medication is helpful. The nurse practitioner: - ANSdiscontinues the
psychostimulant, prescribes guanfacine extended release (Intuniv), and monitors the patient.
A patient from India emphasizes a strong feeling that he or she is one with Brahma and
connected to life through this being. While developing a treatment plan, the
psychiatric-mental health nurse practitioner realizes that this patient's spirituality also guides
his or her: - ANSinterpretation of life events.
A 14-year-old patient has nonspecific complaints about pain in his or her legs. The physical
examination is unremarkable. Laboratory results are within normal limits except for a
markedly elevated alkaline phosphatase level. The psychiatric-mental health nurse
practitioner - ANSinterprets the findings as normally occurring during a rapid adolescent
growth spurt
Laboratory findings for a patient with an alcohol use disorder indicate increased liver function
values and: - ANSincreased MCV and elevated triglyceride levels.
A new patient arrives at the office for treatment for depression. The patient reports taking
simvastatin (Zocor) and lisinopril (Zestril). When selecting an antidepressant, the
psychiatric-mental health nurse practitioner eliminates fluoxetine (Prozac), based on the
knowledge that the combination can lead to increased plasma levels of the statin, resulting in
an increased risk of muscle damage and rhabdomyolysis. The nurse practitioner's reason is
that: - ANSone medication is a CYP450 3A4 substrate and one is a CYP450 3A4 inhibitor.
A 28-year-old patient who is psychotic arrives at the clinic with family members but refuses
to meet if the family members are present. The psychiatric-mental health nurse practitioner -
ANSasks the family members to leave for the appointment.
The psychiatric-mental health nurse practitioner is responsible for initiating quality
improvement at a community mental health clinic. The effective strategy for evaluating the
clinic's services is to: - ANSuse a survey to elicit patient satisfaction responses.
The psychiatric-mental health nurse practitioner evaluates a new adult patient via
telemedicine. The patient has questions about a new medication that he or she recently
started. The nurse practitioner decides to provide psychoeducation and to: - ANSe-mail drug
information and resources
Any court of law that evaluates the standards of care provided by a psychiatric-mental health
nurse practitioner - ANSconsiders what a reasonably prudent health care provider would do.
The psychiatric-mental health nurse practitioner and a team of local mental health
professionals are asked to provide crisis counseling service, after a gunman recently took a
class hostage at a local elementary school, wounded several students, and then shot
himself. In preparing for this assignment, the nurse practitioner recognizes that: - ANSa
child's developmental stage will influence his or her response to catastrophic stress
Which community-based program is a tertiary level intervention? - ANSPartial hospitalization
program that provides intensive group therapy for rehabilitation.
A 32-year-old female patient informs the psychiatric-mental health nurse practitioner that she
is three months pregnant. She has been stable on fluoxetine (Prozac) for the last two years.
, The patient asks whether she may safely continue this medication during her pregnancy.
The nurse practitioner responds: - ANS"Let's review the risks and benefits of continuing or
discontinuing Prozac for you and your baby."
Established clinical guidelines suggest that suicidality is decreased by treating patients who
have borderline personality disorder with: - ANSdialectical behavioral therapy.
A six-year-old patient with autistic spectrum disorder has not responded to six months of
psychosocial interventions and continues to demonstrate aggressive tendencies toward a
younger sibling. The psychiatric-mental health nurse practitioner prescribes: -
ANSrisperidone (Risperdal) 0.25 mg once a day.
The psychiatric-mental health nurse practitioner working in a crisis stabilization unit
evaluates a patient verbalizing suicidal thoughts after being sexually assaulted. Before
processing through the traumatic event, the nurse practitioner first attempts to - ANSprovide
an environment of safety.
The psychiatric-mental health nurse practitioner uses a cognitive-behavioral approach to
help a patient address self-defeating behaviors. After identifying the stressor that causes the
inappropriate behavior, the initial strategy is to explore: - ANSrational and irrational beliefs
about the stressor.
A patient who has borderline personality disorder experiences intense anxiety when the
psychiatric-mental health nurse practitioner goes on vacation. The most appropriate
explanation for this reaction is that the patient: - ANShas not developed object constancy.
An initial psychiatric evaluation of a patient reveals a normal mental status and appropriate
behavior, despite a parent's reports of "disobedience, poor grades, and laziness." To further
assess the patient's functioning, the psychiatric-mental health nurse practitioner: -
ANSmeets with the parent and patient together to explore the discrepant report.
The psychiatric-mental health nurse practitioner is employed in a newly created attending
role on a psychiatric inpatient unit. To promote an interprofessional environment, the nurse
practitioner: - ANSassigns a role for all staff members in improving patient outcomes.
The psychiatric-mental health nurse practitioner sees a 12-year-old patient who takes
lisdexamfetamine (Vyvanse) 50 mg daily for attention-deficit hyperactivity disorder. The
nurse practitioner observes a tic, which the parents report began after the patient began
taking the psychostimulant, and it has been increasing in severity. Both the parents and the
school report that the medication is helpful. The nurse practitioner: - ANSdiscontinues the
psychostimulant, prescribes guanfacine extended release (Intuniv), and monitors the patient.
A patient from India emphasizes a strong feeling that he or she is one with Brahma and
connected to life through this being. While developing a treatment plan, the
psychiatric-mental health nurse practitioner realizes that this patient's spirituality also guides
his or her: - ANSinterpretation of life events.
